Active NPI
Jeung Eun Lee
- Pharmacist
- Saint Paul, MN
National Provider Identifier
1215719422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 126303
- Practice address
- 2099 Ford Pkwy
Saint Paul, MN 55116-1814 - Phone
- (651) 414-3882
- NPI assigned
- Oct 23, 2023
- Last updated
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 126303 | MN | Primary |
Addresses
Primary practice location
2099 Ford Pkwy
Saint Paul, MN 55116-1814
Mailing address
615 S 8TH St Apt 1113
Minneapolis, MN 55404-7521
Phone (612) 810-8129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126303 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2099 Ford Pkwy
Saint Paul, MN 55116
Phone (651) 414-3882
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1215719422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S 8TH ST APT 1113",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554047521",
"telephone_number": "612-810-8129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2099 FORD PKWY",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161814",
"telephone_number": "651-414-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JEUNG EUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "126303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.